| NPI | 1720210818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC C007546) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 13349) |
| Enumeration Date | 2009-08-22 |
| Last Update Date | 2016-09-27 |